神经导航微创穿刺治疗对壳核脑出血预后的影响

Effect of minimally invasive puncture on the outcomes of hypertensive putamen hemorrhage guided by neuronavigation

目的对比传统开颅血肿清除术与神经导航微创穿刺术两种治疗方式对高血压壳核出血患者预后的影响。方法120例高血压壳核出血患者，其中60例接受神经导航微创穿刺术，60例行传统开颅手术组。结果导航组住院时间、术后并发症明显短于和少于开颅手术组（P〈0．01）；导航组术后24h血肿残余明显高于开颅手术组（P〈0．05）；导航组术后12周肌力及日常生活能力评分恢复明显优于传统开颅手术组（P〈0．01）。结论神经导航微创穿刺治疗对高血压壳核出血患者肢体功能、日常生活能力恢复有显著效果，比传统开颅手术有明显优势。

Objective To compare the effects of routine craniotomy evacuation and minimally in- vasive puncture guided by neuronavigation on the outcomes of patients with hypertensive putamen hemor- rhage （HPH）. Methods A total of 120 HPH patients were enrolled,including 60 cases of minimally inva- sive puncture（ the navigation group）and 60 cases of craniotomy evacuation（ the traditional group）. Results The navigation group had shorter hospital stay,less postoperative complications （P 〈 0.01 ）but higher rate of residual hematoma after 24 h （ P 〈 0.05 ） than those of the craniotomy group ; The ADL and motor recov- ery after 12 weeks in the navigation group were superior to the traditional group（ P 〈 0.01 ）. Conclusion Minimally invasive puncture guided by neuronavigation has significant effects on the motor recovery and daily living skills in HPH patients, which has more advantages over the traditional craniotomy.